| NPI | 1184931453 |
|---|---|
| Other Name | WOMEN RESIDENTIAL |
| Entity Type | Organization |
| Authorized Contact | STACY PHILLIPS Director Of Revenue Cycles 618-937-6483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2025-07-14 |